Inspection on 16/06/05 for Solden Hill House

This inspection was carried out on 16th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Solden Hill House 07/01/09

Solden Hill House 24/01/07

Solden Hill House 30/01/06

Solden Hill House 20/12/04

Solden Hill House 04/10/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Solden Hill House Banbury Road Byfield Daventry Northants NN11 6UA Lead Inspector Steve Hunnybun Unannounced 16 June 2005 @ 1:53 p.m. The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Solden Hill House Address Banbury Road Byfield Daventry Northants NN11 6UA 01327 260234 01327 263840 theoffice@soldenhill.org.uk Solden Hill House Limited (Diane Burton RI) Mrs Averil OHare Care Home 22 x 22 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Category(ies) of LD Learning disability registration, with number of places Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: To include 1 existing service user with an additional Mental Disorder MD. A total of 22 service users from the age of 18 - 65 years in the category of LD may be accommodated in the home. 2 of these 22 may be named service users who are over 65 years. No one may be admitted to the home in the category of LD when there are already 22 service users in this category in the home. No further service users over 65 may be accommodated in the home. No service users other than the one named may be admitted in the category of MD The ground floor bedroom to be used only for existing service users who become ill and are unable to mount the stairs. In the unlikely event that the service user requires this room in excess of twenty eight (28) days the Commission for Social Care must be notified. Date of last inspection 20.12.04 Brief Description of the Service: Solden Hill house is situated in a rural location, just outside the village of Byfield to the southwest of Northamptonshire. The home has its own transport and service users can access the village shopping facilities, as well as the facilities of the nearby towns of Daventry and Banbury. The home is one of two owned by Solden Hill house Ltd and is managed by Mrs A. OHare. The home provides personal care and support for 21 service users with learning disabilities. The premises are set in their own grounds and split into two selfcontained houses, Solden and Apps house. Each house provides a communal lounge and separate dining room. Both houses have kitchen facilities. Solden Hill house has a workshop and Day Centre accommodation and the large communal dining area, used by all the service users attending the day centre facilities during weekdays. Solden Hill also contains office accommodation for the administrative section of the organisation. Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first statutory unannounced inspection this year and took place over approximately three hours. Three residents’ were Case Tracked. The inspector looked at all three files and saw two of their rooms. The two residents gave the inspector a guided tour of the communal areas as well. Comments received from the residents were very positive. The home was described as ‘lovely’ and ‘very nice’. Staff were referred to as ‘very helpful’ and the food was described as ‘smashing’. Both residents stated that they have a choice of food and have been able to personalise their rooms. What the service does well: What has improved since the last inspection? There were no previous requirements or recommendations made against the standards assessed on this occasion. Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 4 Residents’ needs are assessed and they are able to ‘test drive’ the home prior to admission ensuring that the home is the right one for them. EVIDENCE: All files tracked contained very useful assessments. Those residents who have recently moved to the home had community care assessments. The registered manager stated that she or her deputy always carry out an additional assessment at the point of referral. New residents are then introduced to the home at a pace that suits them. A visit is made by senior staff to the referral’s own home to discuss the admission process. Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 Residents’ needs are reflected in their care plans, they are enabled to make choices and decisions and any risk involved is assessed. EVIDENCE: All files tracked contained very useful care plans. These were clear and concise and would enable new staff to quickly gain an awareness of residents’ needs. Residents who spoke with the inspector stated that they had contributed to their care plans and there were documents on file that they had signed. The care plans included headings such as social history, health, communication and behaviour. Each file contained a document, signed by the resident, that indicated that decision and choice making had been discussed with them. This was confirmed in conversation with residents who stated that they are able to make choices in many areas of daily life. All files tracked contained very useful risk assessments that were both generic and specific to activities such as horse riding. Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 17 Residents are able to take part in suitable activities and feel that they are part of the community. They are able to maintain contact with families and friends and are offered a varied, nutritious diet. EVIDENCE: All files tracked contained a wealth of information about residents’ activities. All residents attend day activities of one sort or another. Those tracked do gym, horse riding and college. Two of the residents tracked are members of a local dance group and have performed at a number of events. The inspector was shown a video of the dancers in action as well as a gymnastics group she attends. Both residents who spoke with the inspector were very positive about their activities. All residents are enabled to be part of the local community through their various activities. All files tracked indicated that residents are able to maintain contact with family and friends; those that spoke with the inspector stated that they are able to receive visitors at any reasonable time and that they are able to visit in private. All files tracked contained records of residents’ dietary needs including any special requirements. Those who spoke with the inspector confirmed that the food is very good. Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 Residents receive personal and healthcare support that meets their needs and are protected by medication procedures. EVIDENCE: Residents’ personal and healthcare needs are recorded comprehensively in their files. They are all registered with a GP and any appointments are recorded. Those residents who spoke with the inspector stated that the staff look after them well. The inspector examined medication processes and found that it is stored, administered and recorded appropriately. Medication was also discussed with staff. Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Residents feel that their views are listened to and acted upon. They therefore have the confidence to complain. EVIDENCE: The home has a comprehensive complaints procedure. All residents who spoke with the inspector stated that they are aware of this and would be confident to speak with a senior member of staff should they ever need to complain. The inspector was shown a folder in which all complaints are recorded. A number of minor complaints had been recorded all of which had been dealt with within relevant timescales. Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 30 Residents live in a comfortable and homely environment that is kept clean and tidy. EVIDENCE: The premises are very well appointed. Residents’ bedrooms are pleasantly decorated and personalised to a high standard. Both residents who showed their rooms to the inspector were clearly proud of them. The rooms contained personal possessions and pictures and the residents confirmed that they had chosen the décor. Both houses also have comfortable lounge and dining rooms. The home was clean and tidy on the day of the inspection. Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff are well trained and are therefore better able to meet residents’ needs. EVIDENCE: The manager showed the inspector a staff training schedule that indicated a comprehensive programme of staff development. The inspector spoke with a member of staff and discussed medication training. Staff have also attended training regarding dementia, manual handling, food hygiene, epilepsy and abuse. Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the standards in the above section were looked on this occasion. EVIDENCE: Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x 3 x Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Solden Hill House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 17 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation none Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard none Good Practice Recommendations Solden Hill House C51 C08 S12913 Solden Hill V231919 Stage 4 160605.doc Version 1.30 Page 18 Commission for Social Care Inspection First Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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